05D0897752 CLIA NUMBER - UNITED HEALTH CENTERS OF SAN JOAQUIN VALLEY (FOWLER)

Laboratory Demographics

CLIA Number: 05D0897752

Facility Name: UNITED HEALTH CENTERS OF SAN JOAQUIN VALLEY (FOWLER)

Facility Address:
106 EAST MAIN ST
FOWLER, CA
ZIP 93625
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Facility Phone Number: 559 646-6618

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1336776285

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D0897752
LAB Type	Federally Qualified Health Center
Facility Name	UNITED HEALTH CENTERS OF SAN JOAQUIN VALLEY (FOWLER)
Street	106 EAST MAIN ST
City	FOWLER
State	CA
ZIP	93625
Phone	559 646-6618
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024